Lesbian, gay, bisexual, transgender and or queer patient experiences in Canadian primary care and emergency departments
A literature review
Bibliographic Data
| ID | 15099400 |
|---|---|
| Authors | Jenn Campbell (0000-0003-4287-5289, Queen's University), Aisha Nathoo (0009-0004-5615-3097, Queen's University, corresponding author), Sidonie Chard (0000-0001-9043-9751, Queen's University), David Messenger (Queen's University), Melanie Walker (0000-0002-9312-0874, Queen's University), Susan A Bartel (0000-0003-2782-3480, Queen's University), Susan A Bartels |
| Year | 2023 |
| Volume | 25 |
| Issue | 12 |
| Pages | 1707-1724 |
| Publication date | 2023-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691058.2023.2176548 |
| PMID | 36794329 |
| OpenAlex | W4321004682 |
| Language | EN |
| Citations received | 5 |
| References cited | 38 |
This literature review synthesises existing evidence and offers a thematic analysis of primary care and emergency department experiences of lesbian, gay, bisexual, transgender, queer and/or any other sexual or gender minority (LGBTQ+) individuals in Canada. Articles detailing first-person primary or emergency care experiences of LGBTQ + patients were included from EMBASE, MEDLINE, PsycINFO and CINHAL. Studies published before 2011, focused on the COVID-19 pandemic, unavailable in English, non-Canadian, specific to other healthcare settings, and/or only discussing healthcare provider experiences were excluded. Critical appraisal was performed following title/abstract screening and full-text review by three reviewers. Of sixteen articles, half were classified as general LGBTQ + experiences and half as trans-specific experiences. Three overarching themes were identified: discomfort/disclosure concerns, lack of positive space signalling, and lack of healthcare provider knowledge. Heteronormative assumptions were a key theme among general LGBTQ + experiences. Trans-specific themes included barriers to accessing care, the need for self-advocacy, care avoidance, and disrespectful communication. Only one study reported positive interactions. LGBTQ + patients continue to have negative experiences within Canadian primary and emergency care - at the provider level and due to system constraints. Increasing culturally competent care, healthcare provider knowledge, positive space signals, and decreasing barriers to care can improve LGBTQ + experiences
Family medicine · Health care · Homosexuality · Lesbian · MEDLINE · Political science · PsycINFO · Qualitative research · Queer · Sexual minority · Sexual orientation · Sociology · Thematic analysis · Transgender · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Social Psychology
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| Unique citing works | 5 |
|---|---|
| Citations per year | 1,67 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |